Frequent urination or pain in the lower abdomen may indicate the development of cystitis. Many seek to cure the disease through warming up at home. It is absolutely impossible to do this. If the disease is bacterial in nature, an increased temperature will contribute to an even greater development of the infection. In this case, antibiotics are indispensable. Good results in the treatment of cystitis shows the drug "Monural". Domestic analogs are also used. But the decision to use this or that remedy can only be made by a doctor.
The form of release of the drug and its composition
The medication belongs to the group of uroantiseptics. Available in the form of white tablets with a tangerine odor. The main active ingredient is fosfomycin trometamol. As auxiliary elements, sucrose, orange flavor, magnesium stearate are used. Tablets belong to a number of broad-spectrum antibiotics. The mechanism is based on the suppression of protein synthesis of pathogenic bacteria at the initial stage. Microorganisms cease to multiply and soon die.
The main active ingredient is active against most gram-positive bacteria. However, the medicine also affects the beneficial microflora of the human body. Therefore, tablets or any substitute for "Monural" can be used only as part of complex therapy. It is undesirable to use the medicine without prescribing a specialist.
Pharmacokinetics
The main active ingredient is rapidly absorbed from the gastrointestinal tract after oral administration. Maximum bioavailability is achieved after 2 hours and is about 65%. This indicator can be significantly reduced if you take Monural tablets during meals. Domestic analogs are used in the same way.
Fosfomycytin does not bind to blood proteins. To a greater extent, the main active component of the antibiotic accumulates in the urine. More than 90% of the drug is excreted during the day with a single dose. In patients who have kidney problems, as well as in older people, the bioavailability of the drug is significantly reduced. In this case, the duration of elimination of the drug can be increased to two days.
Indications
Only if the disease is bacterial in nature, Monural tablets can be prescribed. Instructions for use, analogues, reviews - all these questions are of interest to patients. However, we recall once again the common truth: the medicine should be recommended by a qualified specialist. Most often, the drug is prescribed for acute bacterial cystitis. At the same time, women feel severe pain in the lower abdomen, body temperature rises, and the number of urinations increases. The doctor conducts a series of tests to determine the site of infection. Monural tablets, analogues (domestic and foreign) can be used at home, but most often the therapy takes place in a hospital setting.
The drug can also be prescribed for non-specific urethritis of a bacterial nature. In this case, the medication is part of complex therapy. Tablets can also be prescribed for prophylaxis after surgery, if we are talking about the genitourinary system. Means "Monural" prevents the infection from entering the bladder.
Pregnant women may also be prescribed medication if the intended benefits to the mother outweigh the potential harm to the baby. Very often, women can develop bacteriuria without symptoms. Deviations can be detected only through analysis of urine.
Side effects
Monural tablets should be used correctly. Instructions and analogues of the drug, possible side effects - all this must be studied before starting therapy. Most often, unpleasant symptoms appear when using the drug in an increased dosage. First of all, the patient may feel dizziness, tinnitus, nausea. In rare cases, vomiting occurs. Allergic reactions are also common. Patients may experience skin rashes and itching. Analogues of Monural tablets can also contribute to the development of side effects if taken in an increased dosage.
Below we will consider popular domestic analogues of the drug.
"Fosfomycin"
If it was not possible to find the right drug in the pharmacy, you can always choose a high-quality analogue. Popular with therapists are domestic tablets "Fosfomycin." As in the case of the drug "Monural", the main active ingredient is phosphomycin. Tablets belong to broad-spectrum antibiotics and show a positive result in diseases of the genitourinary system. The drug is taken orally.
A single dose for an adult patient is 3 g. The medicine can also be prescribed for children. In this case, a single dose should not exceed 2 g. The duration of the course of treatment depends on the form of the disease, as well as the individual characteristics of the patient's body. Pregnant women are not recommended to take the medicine.
Urofosfabol
The drug "Urophosphabol" is also often used for diseases of the genitourinary system. The medicine is produced in the form of a white powder. The medicine belongs to the group of antibacterial drugs-derivatives of phosphonic acid. Using a powder, a solution is prepared, which is administered intravenously.
Urofosfabol powder can be prescribed to pregnant women, as well as children from the first days of life. The dosage is calculated individually based on the patient’s body weight.
"Ureacid"
The medication is available in the form of granules that dissolve in water. The active ingredient is also fosfomycin. A broad-spectrum antimicrobial agent allows you to quickly overcome a urinary tract infection. Like the drug "Monural", domestic analogues have age restrictions. Ureacid granules are not prescribed for children under 12 years old. The medicine is also contraindicated during pregnancy.
The drug is prescribed with caution in patients with renal failure. Such patients should preferably be treated in a hospital.
Forteraz
The preparation in the form of granules is often used in the treatment of cystitis in adult patients. In the acute phase of the disease, the medication is taken once. One pellet is usually enough to make the disease recede. Children are not prescribed medication.
The medicine "Fortez" has a number of contraindications. With caution, it is worth taking the drug to people who are prone to allergic reactions. Sometimes hypersensitivity to individual components may develop. Patients with a high degree of renal failure are not prescribed an antibacterial agent.
Reviews about the drug "Monural" and analogues
Patients note that the medicine shows good results if you seek medical help in a timely manner. In most cases, it is enough to take just one tablet to feel relief. Still, you should not use Monural tablets without the recommendation of a specialist. Instructions for use, analogues, reviews - all this must first be studied.
Pregnant women are advised to take a safer drug. Good results are shown by the drug "Urofosfabol". However, it should be used strictly for its intended purpose. According to experts, tablets show a positive trend in the early stages of therapy. The medication can also be used to treat young children.
About granules "Forteza" you can also hear a lot of positive reviews. The downside is only age restrictions. The medicine is prescribed for patients over 18 years of age.
Only after consultation with a doctor should take the medicine "Monural", analogues and substitutes. The drug will give a good result only with proper use.